| 张弘琴,周毓青.剖宫产后子宫切口憩室的超声“四维”特征及其诊断价值[J].中国医学影像技术,2018,34(S1):58~61 |
| 剖宫产后子宫切口憩室的超声“四维”特征及其诊断价值 |
| Characteristics and diagnostic value of four-dimensional ultrasound features of previous cesarean scar diverticulum |
| 投稿时间：2018-08-12 修订日期：2018-11-04 |
| DOI：10.13929/j.1003-3289.201808079 |
| 中文关键词: 子宫切口憩室 超声检查 诊断显像 |
| 英文关键词:Previous cesarean scar diverticulum Ultrasonography Diagnostic imaging |
| 基金项目:上海市长宁区卫计委产科超声重点专科项目（20161005）。 |
|
| 摘要点击次数: 971 |
| 全文下载次数: 422 |
| 中文摘要: |
| 目的 探讨剖宫产术后子宫切口憩室（PCSD）肌层厚度、长度、宽度、深度4个维度的超声特征。方法 收集剖宫产术后形成子宫切口憩室的80例患者，观察子宫切口憩室的形态以及切口憩室的长度、宽度、深度、切口肌层的厚度等超声"四维"声像图特征。按照有无临床症状，将患者分为有症状组（n=60）和无症状组（n=20），比较2组间超声"四维"特征的差异。结果 PCSD超声表现为子宫下段切口处肌层部分或全部缺失，43例（43/80，53.75%）呈半圆形、20例（20/80，25.00%）呈三角形、12例（12/80，15.00%）呈楔形、5例（5/80，6.25%）呈多囊形无回声区，并与宫腔相通。有症状组子宫憩室长度和宽度均大于无症状组（P均<0.05），切口肌层厚度小于无症状组（P=0.01）；2组间子宫憩室深度差异无统计学意义（P=0.08）。结论 PCSD的超声"四维"特征比较有特异性，子宫切口憩室的长度、宽度以及切口肌层的厚度可能与临床表现相关。 |
| 英文摘要: |
| Objective To explore the four-dimensional ultrasonographic characteristics (length, width and depth and myometrial thickness) of previous cesarean scar diverticulum (PCSD). Methods Totally 80 patients with PCSD were collected. The shape, length, width, depth of incision diverticulum and the thickness of incision muscle layer were observed. The patients were divided into symptomatic group (n=60) and asymptomatic group (n=20) according to whether they had clinical symptoms or not. The difference of four dimensional ultrasound characteristics between the two groups was compared. Results PCSD ultrasonography showed partial or total absence of muscular layer at the incision of lower uterine segment, which were connected with the uterine cavity. The shape of PCSD showed semicircular in 43 patients (43/80, 53.75%), showed triangular in 20 patients (20/80, 25.00%), showed wedge-shaped in 12 patients (12/80, 15.00%), and showed polycystic anechoic areas in 5 patients (5/80, 6.25%). The length and width of uterine diverticulum in the symptomatic group were larger than those in the asymptomatic group (both P<0.05), and the thickness of incision myometrium was smaller than that in asymptomatic group (P=0.01), there was no significant difference in the depth of uterine diverticulum between the two groups (P=0.08). Conclusion The four-dimensional characteristics of PCSD are specific. The length and width of uterine incision diverticulum and the thickness of incision muscle layer may be related to clinical manifestations. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
